摘要
目的探讨医用皮肤表面缝合器在腹腔镜手术中应用的疗效.方法 2009年6月至2012年6月江苏省徐州市中心医院行腹腔镜胆囊切除患者1 650例,随机分成二组,观察组（950例）应用医用皮肤表面缝合器闭合皮肤切口;对照组（700例）应用常规丝线闭合皮肤切口.观察并分析术后切口感染、液化、皮下淤血及血肿、瘢痕形成、患者满意度等指标.结果 观察组切口感染2例,脂肪液化2例,皮下淤血及血肿3例;对照组切口感染8例,脂肪液化10例,皮下淤血及血肿9例.术后随访6～12个月,观察组均未出现针眼瘢痕,患者对切口满意度95%;对照组针眼蜈蚣足样瘢痕360例,患者对切口满意度88%.结论 在腹腔镜手术中应用医用皮肤表面缝合器,无需拆线可降低切口感染率,可减少皮下脂肪液化,皮下淤血及血肿等切口并发症,减少瘢痕,提高患者满意度,疗效安全可靠.
Objective To investigate medical skin suture device used in laparoscopic surgery. Methods From June 2009 to June 2012, in Xuzhou Central Hospital, a total of 1 650 cases of laparoscopic resection in patients with gallbladder, randomly divided into two groups, including an observation group （950 cases） applied with medical skin suture closure, skin incision. The control group （700 cases） was applied to conventional silk closure, skin incision. The items for observation and analyze included the postoperative incision infection, liquefaction, subcutaneous bleeding and hematoma, scarring, patient satisfaction indicators, etc. Results Two cases of incision infection were found in the observation group, with 2 cases of fat liquefaction, subcutaneous bleeding and 3 cases of hematoma. In the control group, 8 cases of infection of incision, 10 cases of fat liquefaction, subcutaneous bleeding and 9 cases of hematoma were observed. After a postoperative follow up of 6 to 12 months, In the observation group, no needle scar was occurred, 95% of patients were satisfied with incision. In the control group, 360 cases of patients were observed with needle centipede foot sample scar, with 88% satisfaction for incision. Conclusions The application of medical skin suture in laparoscopic surgery can reduce incision infection rate, subcutaneous fat liquefaction, incision complication such as subcutaneous bleeding and hematoma, scarring, and improve patient satisfaction, which is safe and reliable with curative effect.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第5期27-28,37,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
